Active NPI
Wade Scott, DC
- Chiropractor
- Goodlettsville, TN
National Provider Identifier
1851702864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2776
- Practice address
- 318 Northcreek Blvd
Ste 300
Goodlettsville, TN 37072-1934 - Phone
- (615) 851-0515
- Fax
- (615) 851-0537
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2776 | TN | Primary |
Addresses
Primary practice location
318 Northcreek Blvd
Ste 300
Goodlettsville, TN 37072-1934
Mailing address
318 Northcreek Blvd
Ste 300
Goodlettsville, TN 37072-1934
Phone (615) 851-0515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140714001264 | TN | Practitioner - Chiropractic | 1951526615 | Practice locations: Goodlettsville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
318 Northcreek Blvd
Suite 300
Goodlettsville, TN 37072-1935
Phone (615) 851-0515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2776 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1851702864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 NORTHCREEK BLVD",
"address_2": "STE 300",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721934",
"telephone_number": "615-851-0515",
"fax_number": "615-851-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 NORTHCREEK BLVD",
"address_2": "STE 300",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370721934",
"telephone_number": "615-851-0515",
"fax_number": "615-851-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "WADE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.